Tracking Pre-Authorizations

I have had several offices ask me how to track Pre-Ds. The answer is simple. Create a code in the 2 range. I have several- 2.12 Pre-authorization Primary 9999998- Pre-auth Submitted

2.13 Pre-Authorization Secondary

2.14 Denial of Pre-auth of Primary

2.15- Denial of Pre-auth of Secondary

The use of the code range 2 will CLOSE any claim attached to it. Therefore you will not need to go back and delete or pre-d claims when they have been received. I enter these codes into my tx plans with the same group number as the treatment. Within the transaction, I suggest adding the plan name in the check number box and the Group number in the Bank number box, this way it easy to see what plan and group pre-d/denied the tx. It is an easy way to reference information rather than searching in doc tree/ chart for pre-D claim information.

The code 999998 Pre-auth Submitted is simply a notification to us showing that a tx plan was sent for pre-d, so that our team does not have to assume or look for pre-d claim.

I hope this helps offices who have a large amount of pre-d claims in their Outstanding claims report.